Individual
KIMBERLY BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201391439NP-PP
OR
Other
Enumeration date
08/10/2013
Last updated
09/01/2022
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